Attachment_3-Inspection_Sheet.pdf

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Material Handling BPA
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W91B4N18A5000
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Inspection Sheet

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Heavy Equipment Inspection Checklist

Inspection Date: Year

Equipment Type: Serial #:

Vendor:

What to Inspect and Look for: Good/ Present Needs Repair/ Not Present N/A Backup lights and alarm Blade/Boom/Ripper condition Brake condition (dynamic service, park, etc.)

Brake fluid Cab, mirrors, seat belt and glass Cooling system fluid Coupling devices and connectors Engine oil Exhaust system Fall protection (lanyards/harnesses) Fire extinguisher condition Frame, ladder(s) and walkway Guardrails/ Outriggers/Brakes Ground engaging attachments Hand grabs and steps Horn and gauges Hose condition Hydraulic oil Lights Oil leak/lube

OTHER

Personal Protective Equipment Power cable and/or hoist cable (s)

ROPS

Safety Decals Seatbelts Steering (standard and emergency) Tires or tracks Transmission fluid Turn signals Wheels/ Tires Windshield wipers and fluid

Heavy Equipment Inspection Checklist

General safety condition:

Problems or repairs needed:

Repairs or Maintenance completed:

Other Notes:

Inspection Completed By:

Print Name:

Company Name:

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